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1952839854
TOREY J VANDE WALLE
LA CROSSE, WI
NPI
1952839854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 100151815)
Enumeration Date
2017-05-23
Last Update Date
2021-01-23
Business Address
TOREY J VANDE WALLE DDS
1800 STATE ROAD 16
LA CROSSE, WI 54601-3011
Phone number: 608-782-9667
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Mailing Address
TOREY J VANDE WALLE DDS
1800 STATE ROAD 16
LA CROSSE, WI 54601-3011
Phone number: 920-737-6701
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